英文摘要 |
Emergency departments (EDs) are places crowded with patients receiving complex medical treatments. Based on the patients' conditions and needs for treatments, ED is divided into three areas: triage area, observation area, and resuscitation area. Accurate and complete nursing hand-off reports comprise one of the required duties related to patient safety This project aims to investigate affecting factors that cause the low completion of hand-off reports and plans for improvement. 40 nurses worked in the ED of the hospital. Five nurses performed accurate and complete hand-off reports (12.5%). A properly completed nursing hand-off report involved finishing a total often hand-off items. 62% of nurses completed such a report. Improvement measusres included a hand-off report model in the department and with other departments, a hand-off recording format, meetings for consensus and in-service, and quality audits. The rate of correctly completed nursing hand-off reports raised from 62% to 92.5%. This project may be used as a reference for other EDs toward improving performance in nursing hand-off reports. |